<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('油站名称')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-station_name" readonly class="form-control" step="0.01" name="row[station_name]" type="text" value="{$station_name}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('收银员')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-admin_info" readonly class="form-control" name="row[admin_info]" type="text" value="{$admin_info}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('开始时间')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-clock_in" readonly class="form-control" name="row[clock_in]" type="text" value="{$clock_in}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('订单总额(已付款)')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-total_price" readonly class="form-control" name="row[total_price]" type="text" value="{$total_price}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('油品订单')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gas_price" readonly class="form-control" name="row[gas_price]" type="text" value="{$gas_price}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('商品订单')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-goods_price" readonly class="form-control" name="row[goods_price]" type="text" value="{$goods_price}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('充值订单')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-recharge_price" readonly class="form-control" name="row[recharge_price]" type="text" value="{$recharge_price}">
        </div>
    </div>

    <input id="c-this_id" readonly class="form-control" name="row[this_id]" type="hidden" value="{$this_id}">

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button id="push" type="submit" class="btn btn-primary btn-embossed">{:__('报班')}</button>
        </div>
    </div>
</form>
